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Organization
MENDED WING COUNSELING, LLC
Active
Organization
MENDED WING COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ELIZABETH JONES LMHC (OWNER)
(850) 250-1441
Entity
Organization
Contact information
Practice address
1011 N 12TH AVE, PENSACOLA, FL 32501-3306
(850) 250-1441
(888) 745-2296
Mailing address
1011 N 12TH AVE, PENSACOLA, FL 32501-3306
(850) 250-1441
(888) 745-2296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z06AL
BCBS
—
Enumeration date
07/17/2014
Last updated
11/19/2024
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